Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $4,387.00 / $8,133.00	Facility		$790.00	$4,387.00	$8,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $790.00 / $790.00 / $1,193.60	Professional		$790.00	$790.00	$1,193.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.09 / $986.67 / $1,443.83	Professional		$781.09	$986.67	$1,443.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $455.36 / $606.14	Professional		$54.98	$455.36	$606.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,237.82 / $2,891.57 / $4,213.85	Facility		$2,237.82	$2,891.57	$4,213.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $875.52 / $1,152.95 / $1,287.07	Professional		$875.52	$1,152.95	$1,287.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,312.00 / $4,640.00	Facility		$1,689.00	$2,312.00	$4,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $630.29 / $769.97 / $1,375.20	Professional		$630.29	$769.97	$1,375.20